Amber Bernier Scholarship Application
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Name *
Street Address *
Phone Number *
Name of the college you have been accepted to and plan to attend *
Parent 1 Name
Parent 1's Occupation
Parent 1's Place of Employment
Parent 2 Name
Parent 2's Occupation
Parent 2's Place of Employment
Please Complete: I think I qualify for this award because... *
Please tell us something about yourself and your hopes for the future *
Please use this space to add anything else you'd like us to know
Date submitted *
MM
/
DD
/
YYYY
To complete this application, email (scanned copy) of your transcript, a letter of recommendation, and FAFSA financial statements to aka4@comcast.net with your name in the subject line
BUHS students may also turn in these additional supporting documents to the Counseling Office
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